bell's palsy

Bell’s Palsy: Causes, Symptoms, Diagnosis, Treatment nhs


Bell’s palsy Introduction

  • Facial palsy is also called – Bell’s palsy.
  • Idiopathic facial paralysis. facial paralysis
  • Facial palsy is a 7th cranial nerve disorder (facial nerve).
  • The function of the 7th cranial nerve – control the muscles of facial expression.
  • Receive taste sensations
  • Increase saliva production.
  • The facial nerve is a mixed nerve that contains sensory, motor and autonomic fibres.
  • Bell’s palsy is a lower motor neuron disorder.
  • 90% facial palsy is capable of self-recovery.

Definition of bell’s palsy

  • Facial palsy is a sudden weakness in the muscles on one half of the face.
  • bells palsy nhs for more details

bell’s palsy causes

bell’s palsy symptoms

  • Sudden weakness and paralysis of one side facial muscles.
  • Patient unable to close eyelids.
  • Dropping of eyes.
  • Decreased tear secretion.
  • Irritation in the eye.
  • Drooling from one side of the mouth.
  • Photophobia.
  • Decrease blink reflex.
  • Disturb body image.
  • Painful eye sensation.
  • Painful facial expressions.
  • Headache
  • Altered taste sensation.
  • Difficulty raising eyebrows.
  • Xerophthalmia.


bell’s palsy examination

  • History collection and physical examination.
  • CT scan and MRI.
  • Electromyography (EMG).
  • X-rays and image scan.
  • Patient signs and symptoms.

facial palsy treatment

  • Corticosteroid drugs – prednisolone
  • For inflammation and to reduce swelling of the facial nerve.
  • Analgesic – to control pain.
  • Antiviral drugs.
  • Artificial tears – to cover affected eyes and treat xerophthalmia.
  • Moist heat application.
  • Ciplox ointment → eye ointment → prevent infection.
  • NSAID.
  • Proton pump inhibitors.
  • Nerve fortifier – vitamin B6, pregabalin, Nevaska.
  • Physical therapy and facial exercise.

Surgical management bells palsy nhs

  • Plastic surgery of face.


  • Ageusia – chronic loss of taste
  • Gusto Lacrimal reflex – Also known crocodile tear syndrome.
  • Corneal ulceration.
  • Hemi facial spasm.
  • Social embarrassment.
  • Jaw winking.
  • Keratitis.

Nursing management

  • Nurse physical finding and analysis the cause.
  • Administer analgesic to relieve pain.
  • Apply hot packs to improve circulation and reduce pain.
  • Educate the patient to chew food on the unaffected side of the mouth.
  • Encouragement for facial exercise.
  • Nurses maintain patient face muscles tone by making a puff on the affected side.
  • Encourage patients to raise their eyebrows.
  • Maintain oral hygiene and remove secretions.
  • Provide artificial tears or patch to maintain eye moisture.
  • Also ointment and eye shield use at night to maintain eye moisture.
  • Provide instruction to the patient to inform about ocular pain, drainage or discharge.
  • Provide facial massage.
  • Provide emotional and physiological support due to disturbing body image.

interesting facts about bell’s palsy

What is the seventh cranial nerve?

Facial nerve

What is Bell’s palsy?

The seventh cranial nerve disorder is – Bell’s palsy

What is a Bell’s palsy?

lower motor neuron disorder

How much percent facial palsy recovery itself?

How much percent facial palsy recovery itself – 85 – 90%

What is Facial palsy?

Sudden weakness in muscles on half side of the face – Facial palsy

Bell’s palsy commonly associated with

Herpes simplex infection

What is Artificial tear?

Treat xerophthalmia in facial palsy disorder – Artificial tear

What is the most common cause of facial paralysis?

Bell’s palsy

What is Lagophthalmos?

Patient unable to close eyelids – Lagophthalmos

What’s Common surgery in Bell’s palsy?

Plastic surgery of face

What is Ageusia?

Chronic loss of taste sensation call Ageusia

What is Crocodile tear syndrome?

Gusto Lacrimal reflex.

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